Publications by authors named "R B Tijn Kool"
Background: The use of peripheral intravenous catheters (PIVCs) contributes to healthcare-associated infections. In 2017, we implemented a multifaceted de-implementation strategy that successfully reduced the inappropriate use of catheters in seven hospitals in the Netherlands (RICAT-1 study). Five years later, we investigated the sustainability of this strategy and the contributing factors.
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- - The study evaluated the use of computer-assisted history taking (CAHT) systems to collect orthopedic patients' medical histories before their first outpatient consultations to improve efficiency and patient engagement.
- - A multicenter implementation study saw a 92.7% completion rate for the CAHT questionnaires, with patients rating the ease of use and satisfaction with their consultations at 8.0 out of 10.
- - Physicians recognized significant benefits from the use of CAHT, scoring its added value at 7.8, citing improved efficiency and enhanced medical record completeness when patient responses were utilized during consultations.
Purpose: The value of pelvic lymph node irradiation is debated for patients with muscle-invasive bladder cancer (MIBC) undergoing curative-intent radiation therapy (RT). We sought to compare the oncologic outcomes between bladder-only (BO)-RT and whole-pelvis (WP)-RT using a large Canadian multicenter collaborative database.
Patients And Methods: The study cohort consisted of 809 patients with MIBC (cT2-4aN0-2M0) who underwent curative RT at academic centers across Canada.
Background: Besides improving the quality of care, quality improvement initiatives often also intend to produce cost savings. An example is prehabilitation, which can reduce complication rates and the length of stay in the hospital. However, the process from utilization reductions to actual societal cost savings remains uncertain in practice.
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